Effect of Trunk Stabilization Exercises on Quality of Life and Communication in Cerebral Palsy

Marmara University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Neurodevelopmental treatment (NDT); Other: Neck and trunk stabilization exercises; Other: Feeding and oral-motor intervention strategies

Study type: Interventional

Funder types: Other

Identifiers

NCT04214080

09.2018.337

Details and patient eligibility

About

To investigate the effectiveness of neck and trunk stabilization exercises on communication and quality of life (QoL) in children with cerebral palsy (CP) with oral motor problems. Children with CP were randomly divided into Study Group (SG) and Control Group (CG). Neurodevelopmental treatment (NDT) approaches and oral motor therapy were applied to both groups. SG also received neck-trunk stabilization training.

Full description

In the multidisciplinary approach, special approaches to secondary problems, oral-motor trainings and communication studies are used in addition to Neurodevelopment treatment approach in the treatment of children with CP. Because of their impact on postural control, neck-trunk stabilization exercises are very important for therapeutic interventions designed to improve quality of life with activities of daily living.

As the increases in neck muscle strength are related to trunk stabilization, trunk stabilization exercises are thought to have positive effects on neck muscle strength. In addition, since the neck and trunk are complementary to each other, it is supported by the literature that neck stabilization exercises and trunk stabilization exercises should be applied together.

Enrollment: 40 patients

Sex: All

Ages: 18 to 54 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1.5 years and older,
• Lack of cooperation problem to prevent communication,
• To have been diagnosed with cerebral palsy and admitted to the hospital for routine control,
• Volunteer to participate in the research,
• Existence of at least one of the items of the "Key Questions" interrogation system showing feeding/swallowing problems in children with cerebral palsy.

Exclusion criteria

• Presence of severe vision and hearing loss,
• Use any pharmacological agent to inhibit spasticity,
• He/she had undergone orthopedic surgery or Botulinum Toxin-A injection in the last six months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups, including a placebo group

Study Group (SG)

Experimental group

Description:

In addition to feeding and oral motor intervention strategies, intensive neck and trunk stabilization exercises based on Neurodevelopmental treatment-Bobath (NDT-B) concept principles were applied to this group. Treatments were continued 2 days a week for 6 weeks (12 sessions).

Treatment:

Other: Neck and trunk stabilization exercises

Other: Neurodevelopmental treatment (NDT)

Other: Feeding and oral-motor intervention strategies

Control Group (CG).

Placebo Comparator group

Description:

(NDT-B) concept approaches and feeding and oral motor intervention strategies were applied to this group in routine treatment. Treatments were continued 2 days a week for 6 weeks (12 sessions).

Treatment:

Other: Neurodevelopmental treatment (NDT)

Other: Feeding and oral-motor intervention strategies